Mohammad Hassan Aboushaar, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME65257 Issued in FL

Practice address

1555 Kingsley Ave
Suite 601
Orange Park, FL 32073-4560

Phone

(904) 264-0264

Fax

(904) 278-2437

NPI assigned

Jul 13, 2006

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mohammad.aboushaar.1@25110.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physicians Group Services PA

  dba Coastal Health

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810

  Pediatrics

  Medicare reassignment NPD
• Physicians Group Services PA

  dba Coastal Health

  • Durable Medical Equipment & Medical Supplies
  • Middleburg, FL
  • NPI 1699170035
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1194740993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE",
            "address_2": "SUITE 601",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734560",
            "telephone_number": "904-264-0264",
            "fax_number": "904-278-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUSHAAR",
        "first_name": "MOHAMMAD",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME65257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Abbey
• Abcn Pain Management LLC
• Abdul Khalil Wallizada,MD (Pediatrics And Adolescent Medicine)
• Hanan Chadi Abdulwahed, RBT
• Ellen Rose Abellana, M.D.
• Yairis Abreu Hernandez
• Kyle D Abshire, O.D.
• Acacia Grove Assisted Living Facility LLC
• Cesar Doel Acevedo, PHARMD
• Ackerman Cancer Center (Ackerman Urology)

• Pediatrics Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.